Health Reform Approaches Left to Right Greater Federal Role Greater State Role Marketplace and employer public plan option based on Medicare Medicaid buy-in Medicare buy-in for older adults Medicare for All Expanding ACA subsidies and supports Strengthening ACA regulations Graham-Cassidy- Heller-Johnson In terms of actual approaches, I think these can be described at this point as falling along a continuum from greater responsibility for states on the right to a greater federal role on the left. Since the most active policy work is happening in the center-left side of our political system , I am going to focus on a few ideas on the left side of the continuum, beginning with what I will refer to as “Medicare for more” type proposals to single payer and other international models. And will also spend some time on Medicaid buy in proposals.